| NPI | 1023709227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON VP, Revenue Cycle 605-328-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-06-12 |